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�.7 2 �� •. <br />'N. ^ fOiiH ] <br />/ ,2C�/ <br />:� <br />~ �CITY �JF EVEtcE`T'T--Water Dept. <br />APPlication No,�..I.,:Y'.�-..Y Date......._�1..._ 1....__ ................1�J Cc<,7 <br />�� Iastal� ...._... �, i;. h wa!er service pipe <br />F � c/,( . . <br />, For _-��><2 �- ..�>".1' l <br />L. r.f 4 :........................_......... <br />On ......: �!. 1/, J. ' � <br />' ...... �.?�..._._C<a�� ...:..............................:itreet <br />Lk } l , <br />a. Lok ......................._........................._.._.. Block No...........------................... <br />_..�, :;°�:�< <br />� .n,.. Addition .... ..... � ........ ................... <br />,r . .. � ..... .......... . _.......... ....... ...... ....... <br />A.t a,., Rernarks ..........:................ �................... <br />. ....... � ......... . .... <br />— •-----...... <br />.......... <br />.............................................1.:�%._;-�,:',:�./.. ` <br />,.. .rt_? .. <br />, <br />.;� �. <br />. ......................................... <br />_....:%:t_ .......:......:.:..: :.............................................................................. <br />.......... <br />...l..�FS..-...':./ _ c. U <br />..... _.......----- -- - <br />. , ........ <br />_.j, _ <br />........._ .......... - ........................_................................................................ <br />Superintendent <br />No. Hours I.a <br />Cut in .............. <br />LABOR AND MATERIAL USED <br />Lead Connection Complete <br />Saddlc Ccmpletc <br />....... . . . . ......... .. .... .......... <br />Service Cock <br />Servicr. Box <br />� .....................x........................ ........................59. Ft. <br />.................... ........................ ........................ <br />�� <br />....................X.............._......_. �� <br />.....--�----.......... <br />X �� <br />.................... ........................ ........................ <br />Total ........................Sq. Ft. <br />__—_'_—____'_' ___— — <br />Re�;iarks ..................................................... - <br />......_......._ ......................_... - -_ <br />Order Received .......................................................... <br />lVork Completed ....................................................... <br />_.._............ <br />Fo: eman <br />L <br />